<template>
    <el-main>
        <el-main class="ep-body">
            <el-form :model="form" ref="form" :rules="rules">
 			<el-card class="ep-card">
                
					<el-row :gutter="10">
                        <epl-search-input colspan="8" label="医疗机构编号" name="akb020"  isCodeType :property="form.akb020" placeholder="请输入医疗机构编号"
                                  p="R" :datas="{formData:form,panel:panel}" type="company" api="/business/d102iniii/d43orgmanagement/AgreeHospitalComfirm/doQuery/akb020">
                            <epl-search-input-item header="医疗机构名称"  name="aae044"></epl-search-input-item>            
                            <epl-search-input-item header="医疗机构类型"  name="akb023"></epl-search-input-item>
                        </epl-search-input>
                        <ep-input colspan="16" label="医疗机构名称" name="aae044" :property="form.aae044" placeholder=""
                                  p="D" ></ep-input></el-row>
            </el-card>
            <el-card class="ep-card">
                    <ep-title>医疗费人员信息</ep-title>
                    <ep-table :data="tableData1" border style="width: 100%;" :titleFilter="demo1">
                        <ep-table-column sortable name="aac001" header="个人编号"></ep-table-column>
                        <ep-table-column sortable name="aac002" header="社会保障号"></ep-table-column>
                        <ep-table-column sortable name="aac003" header="姓名"></ep-table-column>
                        <ep-table-column sortable name="aab001" header="单位编号"></ep-table-column>
                        <ep-table-column sortable name="aab069" header="单位名称"></ep-table-column>
                        <ep-table-column sortable name="blc184" header="门诊费"></ep-table-column>
                        <ep-table-column sortable name="blc192" header="住院费"></ep-table-column>
                        <ep-table-column sortable name="blc186" header="住院药费"></ep-table-column>
                        <ep-table-column sortable name="blc206" header="检查费"></ep-table-column>
                        <ep-table-column sortable name="blc213" header="治疗费"></ep-table-column>
                        <ep-table-column sortable name="blc214" header="材料费"></ep-table-column>
                        <ep-table-column sortable name="blc219" header="床位费"></ep-table-column>
                        <ep-table-column sortable name="blc003" header="住院床日"></ep-table-column>
                        <ep-table-column sortable name="blc216" header="住院伙食费"></ep-table-column>
                        <ep-table-column sortable name="alc080" header="入院时间"></ep-table-column>
                        <ep-table-column sortable name="alc081" header="出院时间"></ep-table-column>
                    </ep-table>
            </el-card>
        	<el-card class="ep-card">
                    <ep-title>报销汇总信息</ep-title>
					<el-row :gutter="10">
                        <ep-input colspan="8" label="门诊费"  name="blc184" :property="form.blc184" placeholder=""
                                  p="D" ></ep-input>
                        <ep-input colspan="8" label="住院费" name="blc192" :property="form.blc192" placeholder=""
                                  p="D" ></ep-input>
                        <ep-input colspan="8" label="住院药费" name="blc186" :property="form.blc186" placeholder=""
                                  p="D" ></ep-input>
                    </el-row>
                    <el-row :gutter="10">
                        <ep-input colspan="8" label="检查费"  name="blc206" :property="form.blc206" placeholder=""
                                  p="D" ></ep-input>
                        <ep-input colspan="8" label="治疗费" name="blc213" :property="form.blc213" placeholder=""
                                  p="D" ></ep-input>
                        <ep-input colspan="8" label="材料费" name="blc214" :property="form.blc214" placeholder=""
                                  p="D" ></ep-input>
                    </el-row>
                    <el-row :gutter="10">
                        <ep-input colspan="8" label="床位费"  name="blc219" :property="form.blc219" placeholder=""
                                  p="D" ></ep-input>
                        <ep-input colspan="8" label="医疗费总额" name="ylfze" :property="form.ylfze" placeholder=""
                                  p="D" ></ep-input>
                        <ep-input colspan="8" label="住院伙食费" name="blc216" :property="form.blc216" placeholder=""
                                  p="D" ></ep-input>
                    </el-row>
                    <el-row :gutter="10">
                        <ep-input colspan="8" label="总额"  name="ze" :property="form.ze" placeholder=""
                                  p="D" ></ep-input>
                        <ep-input colspan="8" label="支付比例" name="zfbl" :property="form.zfbl" placeholder=""
                                  p="D" ></ep-input>
                        <ep-input colspan="8" label="预留金额" name="ylje" :property="form.ylje" placeholder=""
                                  p="D" ></ep-input>
                    </el-row>
                    <el-row :gutter="10">
                        <ep-input colspan="8" label="支付医疗费总额"  name="zfylfze" :property="form.zfylfze" placeholder=""
                                  p="D" ></ep-input>
                        <ep-input colspan="8" label="支付伙食费" name="zfhsf" :property="form.zfhsf" placeholder=""
                                  p="D" ></ep-input>
                        <ep-input colspan="8" label="支付总额" name="zfze" :property="form.zfze" placeholder=""
                                  p="D" ></ep-input>
                    </el-row>
                <el-row type="flex" justify="center">
					<ep-saveButton id="doSave" top="20" type="primary" bottom="20"
									:datas="{formData: form,panel:panel}" name="保存"></ep-saveButton>
                    <ep-button id="cal01" top="20" type="primary" api="doCalculate" bottom="20"
                    :datas="{formData: form,tableData1:tableData1}" name="计算"></ep-button>
                    <ep-button id="import" top="20" type="primary" api="doImport" bottom="20"
                    :datas="{formData: form,tableData1:tableData1}" name="导入"></ep-button>
				</el-row>                
            </el-card>
            </el-form>
        </el-main>
    </el-main>
</template>


<script src="../js/AgreeHospitalComfirmJS.js"></script>
